Shannon Nicole Stuart

Primary specialty

Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X

License

R200054-5 Issued in MN

Practice address

3555 Willow Lake Blvd Ste 290
Vadnais Heights, MN 55110-4465

Phone

(952) 431-5330

Fax

(952) 431-5334

NPI assigned

Jul 22, 2022

Last updated

Jul 22, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Danielle Golden, Crna, PA

  dba The Remedy

  • Adult Mental Health Clinic/Center
  • Vadnais Heights, MN
  • NPI 1598954687
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1658448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658448000000",
    "number": "1164157137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3555 WILLOW LAKE BLVD STE 290",
            "city": "VADNAIS HEIGHTS",
            "state": "MN",
            "postal_code": "551104465",
            "telephone_number": "952-431-5330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3555 WILLOW LAKE BLVD STE 290",
            "city": "VADNAIS HEIGHTS",
            "state": "MN",
            "postal_code": "551104465",
            "telephone_number": "952-431-5330",
            "fax_number": "952-431-5334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STUART",
        "first_name": "SHANNON",
        "middle_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-22",
        "last_updated": "2022-07-22",
        "certification_date": "2022-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "MN",
            "license": "R200054-5",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "shannon@theremedymn.com",
            "affiliation": "N",
            "endpointDescription": "Work email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3555 Willow Lake Blvd Ste 290",
            "city": "Vadnais Heights",
            "state": "MN",
            "country_code": "US",
            "postal_code": "551104465",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Anthony J Sterk, PA-C
• Haley Stewart
• Heather Dawn Stirling, LICSW
• Elizabeth Stolt, LPCC, LADC
• Caroline Susan Stommes, PT
• Edward T Su, MD
• Suite Living Senior Care of Vadnais Heights (Suite Living of Vadnais Heights)
• Lisa Sullivan, PA-C
• Summit Orthopedics, LTD
• Summit Orthopedics, LTD (Summit Recovery Suites)

• Psychiatric/Mental Health Registered Nurse in Vadnais Heights, MN
• Providers in Vadnais Heights, MN by specialty
• Psychiatric/Mental Health Registered Nurse in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.